Organization
3720 CHURCH ROCK STREET OPERATIONS LLC
Active
Other names
Red Rocks Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BERG (ASSISTANT SECRETARY)
(505) 468-4742
Entity
Organization
Contact information
Practice address
3720 CHURCH ROCK ST, GALLUP, NM 87301-4572
(505) 722-2261
Mailing address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109
(610) 925-2254
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
08/09/2018
Last updated
08/09/2018
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